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1174841324
CLINICA OF VIRGINIA LLC
FAIRFAX, VA
NPI
1174841324
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Entity Type
Organization
Authorized Contact
WOODROW ALLEN BOYER
Executive General Manager
863-614-0371
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
CLINICA OF VIRGINIA LLC
10560 MAIN ST #215
FAIRFAX, VA 22030-7182
Phone number: 571-432-0700
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Mailing Address
CLINICA OF VIRGINIA LLC
1600 TYSONS BLVD 8TH FLOOR
MC LEAN, VA 22102-4865
Phone number: 703-245-8513
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